Organization
BRIDGING THE GAP , LLC
Active
Other names
Bridging The Gap LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA LASHELLE SANFERS LPC (CEO)
(706) 399-2628
Entity
Organization
Contact information
Practice address
1829 WRIGHTSBORO RD, AUGUSTA, GA 30904-2010
(706) 399-2628
Mailing address
1829 WRIGHTSBORO RD, AUGUSTA, GA 30904-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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